Healthcare Provider Details

I. General information

NPI: 1497732481
Provider Name (Legal Business Name): LAURA ANNE FRANCE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/29/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 COUNTY ROAD E W SUITE 200
SHOREVIEW MN
55126-8152
US

IV. Provider business mailing address

1030 COUNTY ROAD E W SUITE 200
SHOREVIEW MN
55126-8152
US

V. Phone/Fax

Practice location:
  • Phone: 651-490-4564
  • Fax: 651-490-4568
Mailing address:
  • Phone: 651-490-4564
  • Fax: 651-490-4568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number39975
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: